Organization
LA EDAD DE ORO ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRVIAN RODRIGUEZ (OWNER)
(305) 467-6851
Entity
Organization
Contact information
Practice address
5870 S.W. 8TH STREET, STE 8, MIAMI, FL 33144
(305) 262-2700
(305) 262-0189
Mailing address
5870 S.W. 8TH STREET, STE 8, MIAMI, FL 33144
(305) 262-2700
(305) 262-0189
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002149600
—
FL
Enumeration date
11/15/2011
Last updated
08/21/2024
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